COVER SHEET. 3. Require the program to provide no less than one (1) instructor for every ten. (1 0) students in clinical experiences.



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Agenda Item #6.C.2. o STATiili CJ F CALIF'ORNIA al \ OEPARTII! NT Of CONSUMER AFFAIRS I I BOARD OF VOCATIONAL NURSING & PSYCHIATRIC TECHNICIANS 2535 Capitol Oaks Drive, Suite 205, Sacramento, CA 95833-2945 Phone (916) 263-7800 Fax (916) 263-7855 Web www.bvnpt.ca.qov COVER SHEET SUBJECT: Platt College, Alhambra, Vocational Nursing Program- Consideration of Placement on Provisional Approval; Consideration of Request to Admit Students (Director: Janice Montgomery, Alhambra, Los Angeles County, Private) Recommendations: 1. Place the Platt College, Alhambra, Vocational Nursing Program on provisional approval for the two (2) year period from August 21, 2015 through August 31, 2017, and issue a notice to the program to identify specific areas of non-compliance and requirements for correction as referenced in Section 2526.1 (e) of the California Code of Regulations. (See Attachment H) 2. Approve the Platt College, Alhambra, Vocational Nursing Program's request to admit one (1) class of twenty (20) students to a class beginning on Novemb,er 10, 2015, graduating January 30, 2017, only. 3. Require the program to provide no less than one (1) instructor for every ten. (1 0) students in clinical experiences. 4. Require the program to admit no additional classes without prior approval by the full Board. 5. Require the program director to submit, under penalty of perjury, the names of all enrolled students, date of admission, placement in the curriculum, and expected date of graduation by September 15, 2015. 6. Require the program to a submit follow up reports in nine (9) months, but no later than May 1, 2016, and 21 months, but no later than May 1, 2017. The reports must include a comprehensive analysis of the program, specific actions taken to improve pass rates, timeline for implementation, and the effect of employed interventions. The following elements must be addressed in the analysis: a. Admission Criteria b. Screening and Selection Criteria c. Terminal Objectives d. Curriculum Objectives e. Instructional Plan

f. Theory and Clinical Objectives for Each Course g. Lesson Plans for Each Course h. Textbooks i. Attendance Policy j. Remediation Policy k. Evaluations of Theory and Clinical Faculty I. Evaluations of Theory Presentations m. Evaluations of ClinicaiHotations and Their Correlation to Theory Presentations n. Evaluation of Student Achievement o. Current Enrollment '.. 7. Require the program to brings itsaverage annual pass rate to no more than (10) ten percentage points below the State average annual pass rate. 8. Require the program to demonstrate incremental progress in correcting the violations. If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the program's approval. 9. Require the program to comply with all approval standards in Article 4 of the Vocational ~ursing Practice Act, commencing at Business and Professions Code Section 2880, and Article 5 of the Board's Regulations, commencing at California Code of Regulations, Title 16, Section 2526.. 10. Failure to take any of these corrective actions may cause the full Board to revoke the program's approval. 11. Place the program on the Board's August 2017 agenda for reconsideration of provisional approval. i '.. Rationale: Based on the most recent data available (April through June 2015), the program's average annual pass rate is 36%, which is 36 percentage points below the. state average annual pass rate. The program now has six (6) consecutive quarters below the state average annual pass rate. An improvement planwas implemented by the program in late 2014. To date, no program candidates have tested. in 2015. The program has, over the past. year, made a number of important changes in policy, curriculum, and support to past and current students. The new curriculum is to be implemented with the next admission to the program. The program has demonstrated adequate resources to support the proposed admission of students. The significant variance from the state average annual pass rate supports the recommendation of placement on provisional approval. The many significant changes implemented and planned by the program support the recommendation to admit students at this time. Board staff will continue to monitor the program's effectiveness by tracking class admissions, the program's follow-up reports, the effectiveness of

employed interventions, and the program's licensure examination pass rates each quarter.

Agenda Item # 6.C.2. I GTATII t>f CAL.IFQRNIA BUSINESS, CONSUMER SERVICES. AND HOUSING AGENCY GOVERNOR EDMUND G. BROWN JR. Board of Vocational Nursing and Psychiatric Technicians Cl C3) I 2535 Capitol Oaks Drive Suite 205, Sacramento, CA 95833-2945 Ol!PA~TMENT Ol' CONSUMER AFFAIRS Phone 916-263-7800 Fax 916-263-7855 Web www.bvnpt.ca.gov DATE: August 5, 2015 TO: FROM: B!}.ard Members IJ ~-A-- Do~aCd. \ahnson, RNP, MS, MA Nursing Education Consultant SUBJECT: Platt College, Alhambra, Vocational Nursing Program - Consideration of Placement on Provisional Approval; Consideration of Request to Admit Students (Director: Janice Montgomery, Alhambra, Los Angeles County, Private) Platt College, Alhambra, Vocational Nursing Program is presented to the Board for consideration of placement on provisional approval. In accordance with Section 2526.1 (c) of the Vocational Nursing Rules and Regulations "The Board may place any program on provisional approval when a program does not meet all requirements as set forth in this chapter and in Section 2526... " Section 2530(1) of the Vocational Nursing Rules and Regulations states: "The program shall maintain a yearly average minimum pass rate on the licensure examination that does not fall below 10 percentage points of the state average pass rate for first time candidates of approved vocational nursing schools for the same period." On April27, 2015, when considering the program's request for continued approval, the Executive Officer noted the program's noncompliance with regulatory requirements for program pass rates on the licensure examination. Specifically, the program's average annual pass rates were 26 32 percentage points below state average annual pass rates from Quarter 1-2014 through Quarter 1-2015. The Executive Officer referred the program to the Board for consideration of placement on provisional approval. In addition, the program has requested approval to admit one (1) class of 20 students beginning November 1 0, 2015 and graduating January 30, 2017. The requested class would replace the class scheduled to graduate on November 9, 2015.

History of Prior Board Actions (See Attachment A, History of Prior Board Actions) Enrollment Data The program offers full- time classes. Board approval is required prior to the admission of each class. The pattern of admissions for past, current, and proposed classes is seen in the enrollment table below. The table indicates a maximum enrollment of 24 students for the period May 2008 through November 2015. 5/08 PT 14 6/10 (5/08 Class). -14 14-14=0 9/10 PT 10/12 FT 14 11 17 13 0+11=11 11 + 13 = 24 12/12 (9/1 0 Class) -11 '24-11 =13 13-13=0 6/14 FT 18 16 0+16=16. <,. -16 16-16=0 20 0 + 20 =20 Licensing Examination Statistics The following statistics, furnished by Pearson VUE and published by the National Council of State Boards of Nursing as "Jurisdictional Summary of All First-Time Candidates Educat~d in Member Board Jurisdiction" for the period October 201 0 to June 30, 2015, specify the pass percentage rates for graduates of the Platt College, Vocational Nursing Program on the National Council Licensure Examination for PracticaiNocational Nurses (NCLEX-PN ). 2

*The Annual Pass Rate changes every quarter. It is calculated by dividing the number of candidates who passed during the current and previous three-quarters by the number of candidates who tested during the same period. If no data is available for the relevant period, the statistic is carried over from the last quarter for which data is available. California Code of Regulations section 2530(1) states: "The program shall maintain a yearly average minimum pass rate on the licensure examination that does not fall below 1 0 percentage points of the state average pass rate for first time candidates of approved vocational nursing schools for the same period." Based on the most recent data available (April1, 2015 through June 30, 2015), the program's average annual pass rate is 36%. The California average annual pass rate for graduates from approved vocational nursing programs who took the NCLEX-PN Licensure Examination for the first time during the same period is 72%. The average annual pass rate for the Platt College Vocational Nursing Program is 36 percentage points below the state average annual pass rate. The program's average annual pass rate has been greater than 10 percentage points below the state average annual pass rate for the past six (6) consecutive quarters. 3

Faculty and Facilities Section 2534(d) of the Vocational Nursing Rules and Regulations states: "For supervision of clinical experience, there shall be a maximum of 15 students for each instructor." The program's Board-approved faculty totals four (4) including the program director and one (1) Teacher's Assistant The director has 80% administrative responsibility. A total of three (3) instructors, including the director, are approved to teach in clinical areas. Based on a maximum enrollment of 24 students, two (2) instructors are needed. Therefore, faculty is adequate for the current and proposed enrollment.. ~. Section 2534(b) of the Vocational Nursing Rules and Regulatio. ns states:... '. "Schools shall have clinical facilities adequate as to number, type, and variety of patients treated, to provide clinical experience for all students in the areas specified bysection 2q33. There must qe availai:jie for student assignment, an adequate daily census of pafients to afford. a variety of clinical. experiences consistent with competency-based objectives and theoiy.being taught." The program. has adequateclinical facilities to afford the nun1ber, type, and variety of patients that will provide clinical experience co nsistent with competency-b(lsed objectives and theory being taught. other considerations On February 6, 2014, noting a low nuli1ber ofgraduates t~king the licensure examination, the assigned cor1~ultant r~que~ted the progran1.qirect()r~ubmit a comprehensive analysis of the program's plan of c;orrec~ion, identification of. pr()i:jiems negatively impacting student achievement, Jhe effec:tpf employe(:! Interventiof1S, identification ofrequired revisions, and a timeline for implementation. On April 25, 2014, the progre1m reported or the impleme}ntation of a plan to contact past graduates, to provide review assistance and preparation for taking the exam, to provide followup, and to provide financial incentives for successful first - time candidates. The plan also included working with current students to provide preparation and review, and financial assistance with application fees. (See Attachment B). Upon submission of the Program Record Survey documents in May 2014, deficits in policies related to attendance, remediation, and evaluation of student progress were identified. In addition, the submitted Credit Granting policy was not compliant with regulations. New policies related to attendance, evaluation methodology for student progress, and remediation were submitted on May 23, 2014. Updates to documentation of evaluation of the curriculum, evaluation of faculty, and high school equivalency for students were submitted on May 28, 2014. With a major curriculum revision in process, the Program Record Survey remained pending completion. 4

On February 18, 2015, the assigned consultant forwarded correspondence notifying the program director of the program's four (4) consecutive quarters of average annual pass rates greater than 10 percentage points below the state average annual pass rate and an improvement plan was requested. (See Attachment C). On March 30, 2015, the Board received the program's revised plan of correction (see Attachment D). The program reiterated a commitment to reach out to past graduates, including those who had never tested and those who were not successful on the first attempt, and the program reported on results to date. The program also reported on: a) Implementation of the HESI VN package in the curriculum as of December 2014 b) Enhanced remediation plans c) Live review for all students in the final term d) Implementation of an NCLEX study plan and instructor assistance e) Tutoring sessions on campus f) Financial incentives to test early, beginning March 2014 g) Pending major curriculum revision A new Credit Granting policy was submitted on March 30, 2015, correcting the previously identified violation. An updated version of the Program Record Survey was received on April 17, 2015. Final revisions of the new curriculum were accepted on March 30, 2015. The program reports rationale for the new curriculum as: 1) To provide more congruence between theory and clinical content; 2) To add critical thinking components throughout the curriculum; 3) To add a course on Growth and Development; 4) To enhance Fundamentals of Nursing with increased theory and skills content. In addition, the curriculum was revised to enhance integration of HESI assessment materials throughout. The new curriculum offers 671 theory hours, 1079 clinical hours, and a total of 1750 hours. The new curriculum is to be implemented with the next incoming class. On April 27, 2015, the Executive Officer approved the major curriculum revision, continued to require the program to obtain Board approval prior to the admission of each class, and placed the program on the Board's August 2015 agenda for consideration of placement on provisional approval. The program was notified of the decisions on that day. (See Attachment E). On May 13, 2015, the Board notified the school of five (5) consecutive quarters of program average annual pass rates greater than 1 0 percentage points below the state average annual pass rate. (See Attachment F). On that date the program was also requested to submit documentation in preparation for presentation at the August 2015 Board meeting. (See Attachment G). On June 10, 2015, as requested by the program, the assigned consultant conducted a phone consultation with the program director and the school's president regarding presentation at the Board meeting. 5

Recommendations: 1. Place the Platt College, Alhambra, Vocational Nursing Program on provisional approval for the two (2) year period from August 21,2015 through August 31, 2017, and issue a notice to the program to identify specific areas of non-compliance and requirements for correction as referenced in Section 2526.1 (e) of the California Code of Regulations. (See Attachment H) 2. Approve the Platt College, Alhambra, Vocational Nursing Program's request to admit one (1) class of twenty (20) students to a class beginning on November 10, 2015, graduating January 30,2017, only. 3. Require the program to provide no less than one (1) instructor for every ten (1 0) students in clinical experiences. 4. Require the program to admit no additional classes without prior approval by the full Board. 5. Require the program director to submit, under penalty of perjury, the names of all enrolled students, date of admission, placement in the curriculum, and expected date of graduation by September 15, 2015. 6. Require the program to a submit follow up reports in nine (9) months, but no later than May 1, 2016, and 21 months, but no later than May 1, 2017. The reports must include a comprehensive analysis of the program, specific actions taken to improve pass rates, timeline for implementation, and the effect of employed interventions. The following elements must be addressed in the analysis: a. Admission Criteria b. Screening and Selection Criteria c. Terminal Objectives d. Curriculum Objectives e. Instructional Plan f. Theory and Clinical Objectives for Each Course g. Lesson Plans for Each Course h. Textbooks i. Attendance Policy j. Remediation Policy k. Evaluations of Theory and Clinical Faculty I. Evaluations of Theory Presentations m. Evaluations of Clinical Rotations and Their Correlation to Theory Presentations n. Evaluation of Student Achievement o. Current Enrollment 7. Require the program to brings its average annual pass rate to no more than (10) ten percentage points below the State average annual pass rate. 8. Require the program to demonstrate incremental progress in correcting the violations. If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the program's approval. 6

9. Require the program to comply with all approval standards in Article 4 of the Vocational Nursing Practice Act, commencing at Business and Professions Code Section 2880, and Article 5 of the Board's Regulations, commencing at California Code of Regulations, Title 16, Section 2526. 10. Failure to take any of these corrective actions may cause the full Board to revoke the program's approval. 11. Place the program on the Board's August 2017 agenda for reconsideration of provisional approval. Rationale: Based on the most recent data available (April through June 2015), the program's average annual pass rate is 36%, which is 36 percentage points below the state average annual pass rate. The program now has six (6) consecutive quarters below the state average annual pass rate. An improvement plan was implemented by the program in late 2014. To date, no program candidates have tested in 2015. The program has, over the past year, made a number of important changes in policy, curriculum, and support to past and current students. The new curriculum is to be implemented with the next admission to the program. The program has demonstrated adequate resources to support the proposed admission of students. The significant variance from the state average annual pass rate supports the recommendation of placement on provisional approval. The many significant changes implemented and planned by the program support the recommendation to admit students at this time. Board staff will continue to monitor the program's effectiveness by tracking class admissions, the program's follow-up reports, the effectiveness of employed interventions, and the program's licensure examination pass rates each quarter. Attachment A: History of Prior Board Actions. Attachment B: Program Correspondence Dated April25, 2014. Attachment C: Board Correspondence Dated February 18, 2015. Attachment D: Program Correspondence Dated March 30, 2015. Attachment E: Board Correspondence Dated April27, 2015.. Attachment F: Board Correspondence Dated May 13, 2015. Attachment G: Board Correspondence #2 Dated May 13, 2015. Attachment H: Draft Notice of Change in Program Status. 7

Agenda Item #6.C.2., Attachment A PLATT COLLEGE VOCATIONAL NURSING PROGRAM History of Prior Board Actions On April1 0, 2008, the Board approved Anderson Medical Career College's request to begin a vocational nursing program at the City of Commerce campus with an initial class of 45 students on April 24, 2008 only, and a projected graduation date of April 24, 2010. The Board also approved the program curriculum for 1545.5 hours, including 585.5 theory and 960 clinical hours. On January 12, 2010, a new program director was approved. On June 17, 2010, the Board received the Program Records Survey and related materials. On June 21-22, 2010, the assigned consultant completed an onsite inspection to determine regulatory compliance for program approval. On July 20, 2010 the Executive Officer approved Anderson Medical Career College, Commerce City, Vocational Nursing Program's full initial accreditation for a four-year period from June 27, 2010 through June 26, 2014 and issued a certificate accordingly; and, approved the program's request to commence a part- time class of 35 students on August 15,2010 to replace students scheduled to graduate June 27,2010. The proposed class is scheduled to complete program requirements on August 30, 2012; and required the program to obtain Board approval prior to the admission of each class. On May 7, 2012 the program was sent a four (4) quarter notification of noncompliance with Section 2530 (I) failure to achieve required annual m!nimum pass rate. On June 7, 2012, the Executive Officer approved the following recommendations: 1. Approve Anderson Medical Career College Vocational Nursing Program's request to admit a full-time class of 35 students commencing on June 4, 2012 and graduating on August 9, 2013, to replace students who will graduate September 23, 2012. 2. Deny the program's request to admit a class of 25 students commencing January 5, 2013, and graduating June 28, 2015, at this time. 3. Require the program to complete a comprehensive analysis of critical program elements and submit a written report by June 30, 2012. The report must include a summary of the program analysis, specific actions taken to improve program pass rates, timeline for implementation, and the effect of employed interventions. The following elements must be addressed in the analysis. a. Admission Criteria. b. Screening and Selection Criteria. 8

c. Terminal Objectives. d. Curriculum Objectives. e. Instructional Plan. f. Theory and Clinical Objectives for Each Course. g. Lesson Plans foreach Course. h. Textbooks. i. Attendance Policy. j. Remediation Policy. k. Evaluations of Theory and Clinical Faculty. I. Evaluations of Theory Presentations. m. Evaluations of Clinical Rotations and Their Correlation to Theory Presentations. n. Evaluation of Student Achievement. b. CurrentEnrollment. 4. Continue to require the program to obtain Board approval prior to the admission of each class. On February 27, 2013, Janice Montgomery was approved as the new director of the program. On June 1, 2013, the narne of the program wascharlged to Platt College. The new offices are located in Alhambra, California, however, the school is associated with the Platt College, Los Angeles, campus. On February 6, 2014, the Executive Officer approved the following recommendations: 1) ApprciVePI~tt'Collegy. formerly Anderson Medical CareerQollege, City of Commerce, Vocational Nl.ltsing Program's request to admit a full.:t]me class of 35 students cqrilmencing On March 4, 2p14 and graduating on June 17, 2015, to replace students who,~iraduated January 16, 2014. '.. ~ '. 2) Requiretheprogramto submit'a follow-lip report no later than April30, 2014. The report must include acomprehensive analysis oftheprogram's plan of correction, identification of probie?ms neg~tiyeiy impacting student achievement, the effect of employed interventions, identification of required revisions, and a tim'eline for implementation. 3) Cohtinue to require the program to obtain Board approval prior to the admission of each class. On May 23, 2014, new policies related to attendance, remediation, and evaluation of student progress were approved. On May 28, 2014, updated documents related to the Program Record Survey were received. On February 18, 2015, the program was notified of four consecutive quarters more than 10 percentage point~ below the state average annual pass rate. An improvement plan was requested. On March 30, 2015, final revisions to the proposed philosophy, conceptual framework, and curriculum were accepted. The revised improvement plan was also received on this date. 9

On April17, 2015, the revised version of the Program Record Survey, containing all updated documents, including the proposed curriculum was received. On April 27, 2015, the Executive Officer rendered the following decisions: 1. Approve the Platt College Vocational Nursing Program's request for a major curriculum revisions to include 1750 hours, including 671 theory hours and 1079 clinical hours. 2. Continue to require the program to obtain Board approval prior to the admission of each class. 3. Place the program on the Board's August 2015 agenda for consideration of placement on provisional approval. On May 13, 2015, the Board notified the school of five (5) consecutive quarters of program average annual pass rates greater than 10 percentage points below the state average annual pass rate and requested to submit documentation in preparation for presentation at the August 2015 Board meeting. On June 10, 2015, as requested by the program, the assigned consultant conducted a phone consultation with the program director and the school's president regarding presentation at the Board meeting. 10

PLATT COLLEGE LOS ANGELES. ONTARIO It's all about your future. Agenda ltem#6.c.2., Attachment B ~ _j t- ~ il Los Angeles Campus 1000 S. Fremont Ave., A9 West Alhambra, CA 91803 626.300.5444 Ontario Campus (A Brandl of Platt College La~ Angeles) 3700 Inland Empire Blvd., Suite 40 Ontario, CA 91764 909.941.9410 April 25, 2014 Board ofvocational Nursing and Psychiatric Teclmicians 2535 Capitol Oaks Drive Suite 205 Sacramento, California 95833-2945 Riverside Campus 6465 Sycamore Canyon Blvd. Suite 100 Riverside, CA 92507 951.572.4300 WWW.PLATTCOLLEGE.EDU Dear Ms. Clayworth, I am writing in response to your letter on February 11,2014 regarding recommendations for the Vocational Nursing Program at Platt College. Problem negatively impacting student achievement: Low percentage of graduates who have taken NCLEX (of the 26 graduates from the first two graduating classes only 15 graduates have tested). Assessment: Director of Vocational Nursing Program at Platt College has conducted a comprehensive analysis of the problem of graduates not taking NCLEX. Recommendations: See attached plan of correction including interventions, identified required revisions, and time line for interventions. Please feel free to contact me should you have any questions. Sincerely, Janice Montgomery RN, MSN Vocational Nursing Program Director Platt College Alhambra Can1pus (626)300-5444 ext. 276 jmontgomery@plattcollege.edu

~~- Platt College Vocational Nursing Plan of Correction 1! Area Specifics Evaluation Past graduates that have 1) Identify all past graduates that have not sat for NCLEX-PN Anderson Medical Career College not sat for NCLEX 2) Contact all past graduates that have not sat for NCLEX-PN by Cohort Start September 25, 2010 June 30, 2014 1) Applications submitted for all11 graduating 3) Determine why past graduates have not sat for NCLEX-PN students 4) Secure assurance from past graduates that they will prepare and 2) 1 Student has reported no responsesit for NCLEX-PN as soon as possible application will be resubmitted 5) Inform past graduates of availability of Vocational Nursing faculty 3) 7 Students reported completion of the NCLEXto assist students to prepare to sit for NCLEX-PN Examination PN Examination 6) Follow-up with past graduates on a regular basis to ensure 4) 3 Students reported plans to test by the end of compliance with NCLEX-PN preparation June,2014 7) All successful first-time NCLEX-PN candidates will receive a Previous Anderson Cohorts financial incentive from Platt College 1) 1 Student currently attending tutoring sessions and ATI review in preparation for initial NCLEX PN 2) 1 student has relocated to Hawaii and does not pian to test 3) 1 Student was contacted by the school regarding application submittal but has since been unresponsive- will continue to follow up Ensure class that 1} Identify all recent graduates that have not applied for NCLEX-PN Anderson MediCal Career College graduates are prepared to test date Cohort Start October 15, 2012 sit for NCLEX within 90 2) Determine why recent graduates have not applied for NCLEX-PN 1) Applications submitted for 12 out of 13 days of receipt of Ability to test date graduates Test. 3) Secure assurance from recentgraduates that they will prepare 2) 1 Student still pending record of conviction and sit for NCLEX-PN as soon as possible completion for application submittal- Director 4) Inform recent graduates of availability of Vocational Nursing has contacted student multiple times faculty to assist students to prepare to sit for NCLEX-PN regarding application completion 5) Follow-up with recent graduates on a regular basis to ensure 3} 2 Students reported examination test dates compliance with NCLEX-PN preparation and application for test scheduled for June, 2014 date 4) 10 Students contacted by Director regarding 6} Platt College will provide Initial application and examination fee examination scheduling 7) All successful first-time NCLEX-PN candidates will receive a financial incentive from Platt College - - -=c-----,-----,1

Platt College Vocational Nursing Plan of Correction 2 Prepare future students to be prepared to sit for NCLEX within 90 days of receipt of Ability to Test. 1) Throughout Vocational Nursing Program encourage students to prepare and sit for NCLEX within 90 days of receipt of Authorization to Test 2) Secure assurance from future students that they will prepare and sit for NCLEX as soon as possible 3) Inform students of availability of Vocational Nursing faculty to assist students to prepare to sit for NCLEX upon completion of the program 4) Continue to follow-up with students throughout examination process 5) Platt College will provide initial application and examination fee 6) All successful first-time NCLEX-PN candidates will receive a financial incentive from Platt College Platt College 1) Prepare future cohorts to complete initial application process 2) Encourage and motivate students to complete NCLEX-PN Examination within 90 days of Authorization to Test 3) Closely monitor planned interventions with each cohort ------ -----------

9TATii OF CAL.If'ICIR.NI.A DEPARTMENT OF CONSUMER AFFAIRS Agenda Item #6.C.2., Attachment C BUSINESS, CONSUMER SERVICES. AND HOUSING AGENCY GOVERNOR EDMUND G. 9ROWN.JR. Board of Vocational Nursing and Psychiatric Technicians 2535 Capitol Oaks Drive Suite 205, Sacramento, CA 95833-2945 Phone 916-263-7800 Fax 916-263-7855 Web www.bvnpt.ca.gov February 18, 2015 Janice Montgomery, Director Vocational Nursing Program Platt College, Alhambra Campus 1000 S. Freemont Ave #A-1 0 Alhambra, CA 91803 Subject: NCLEX-PN Pass Rates Dear Ms. Montgomery, The Board of Vocational Nursing and Psychiatric Technicians hereby informs you of your program's status related to Section 2530(1) of the Vocational Nursing Rules and Regulations which states: "The program shall maintain a yearly average minimum pass rate on the licensure examination that does not fall below 10 percentage points of the state average pass rate for first time candidates of accredited vocational nursing schools for the same period. (1) Failure to achieve the required yearly average minimum pass rate within two years of initial approval may be cause to place a program on provisional accreditation. (2) Failure to maintain the required yearly average minimum pass rate for two years or eight consecutive quarters may be cause to place a program on provisional accreditation." Statistics furnished by Pearson VUE, and published by the National Council of State Boards of Nursing as ~~Jurisdictional Summary of All First-Time Candidates Educated in Member Board Jurisdiction~~, indicate that the pass rates for the Platt College, Alhambra Campus Vocational Nursing Program have fallen below 10 percentage points of the state average pass rate for the past four quarters.

*The Annual Pass Rate changes every quarter. It is calculated by ing the number of candidates who passed during the current and previous three-quarters by the number of candidates who tested during the same period. If no data is available for the relevant period, the statistic is carried over from the last quarter for which data is available. Please provide the Board with your written plan for improving your program's NCLEX PN pass rates by March 18, 2015. The Board will continue monitoring the pass rates closely. Should you have questions, please do not hesitate to contact the Board. Sincerely, Vo-vwu;vG.J~ Donna G. Johnson, RNP, MS, MA Nursing Education Consultant donna.johnson@dca.ca.gov 916-263-7842 2

Agenda Item #6.C.2., Attachment D PlATT COLLEGE VOCATIONAL NURSING PROGRAM PLAN OF CORRECTION Problem Area Interventions Evaluation Candidates not successful on the first 1. Identify past graduates who were not 1. Of the prior 2 Vocational Nursing VN attempt of the NCLEX-PN Licensure successful on first attempt of the NCLEX-PN cohorts, 1 student's application remains Examination Licensure Examination incomplete for submission- requiring 2. Contact past graduates by March 13, 2015 Record of Conviction Form completion. 3. Determine when second examination Program Director has contacted graduate attempt is scheduled multiple times 4. Offer and encourage attendance of weekly 2. 3 students have agreed to attend tutoring tutoring sessions offered at Platt College sessions on campus, and 1 requested 5. Provide continued monitoring and support online review materials and is currently for graduates as they prepare for the repeat completing HESI NCLEX Review examination Assessment Testing 6. Review each graduates' study plan for the 3. Program Director will continue to followexamination at the time of tutoring up and encourage tutoring attendance attendance for the remaining students on a weekly basis Graduates Pending NCLEX-PN first 1. Identify past graduates who have not sat for 1. 1 graduate from the October 2012 cohort attempt the NCLEX-PN Licensure Examination has not tested due to a medical 2. 2. Contact past graduates by March 13, 2015 condition; application was submitted 3. Notify graduates oftutoring availability at March, 2014 Platt College 2. 1 graduate from the May, 2008 Anderson 4. Review each graduates' study plan at the Medical Career College cohort has not time of tutoring attendance tested, application submitted. Student 5. Provide continuing monitoring and support has attended an outside review course for graduates as they prepare for and provided documentation of examination completion. Graduate attending campus I 6. Successful first-time NCLEX-PN candidates review sessions and in process of will receive a financial incentive from Platt completing HESI Review package College (ongoing}- initiated March, 2014 I I I

3. Program Director will continue to monitor graduate progress and encourage review attendance on a weekly basis Problem Area Interventions Evaluation Currently enrolled Vocational Nursing students I 1. HESI VN Package provided to each studentas of December, 2014 2. Students are required to completed case studies and practice examinations for topics aligned in the curriculum 3. Students receive remediation materials and are required to review before repeatinga proctored HESI examination 4. HESI Live Reviewwill be provided for all students in the final program term 5. Students will submit a NCLEX review study plan in the last term, which is to be followed pending completion of the NCLEX-PN Examination 6. Instructors will assist students to develop effective study methods during the VN program 7. Program Director will monitor HEI assessment results after each proctored examination and meet with students requiring remediation 8. Tutoring sessions will continue to be scheduled on campus 9. Platt College will provide the initial application fee and reimburse each studentthe examination fee to facilitate 1. Continue to monitor HESI assessment resultsthroughout the program on a weekly basis 2. Students have online access to case studies and practice examinations, Program Director validates completion of items before proctored examinations as of January 2015 3. Instructors and Program Director monitor compliance with HESI student remediation progress as of January 2015 4. Adopted HESI NCLEX-PN Review package December 2014 5. Current cohort has buy-in with NCLEX preparation as demonstrated by the formation of study groups to specifically practice NCLEX-style questions and perform content review 6. All currently enrolled students were interviewed by the Program Director and successfully completed entrance examination requirements as of June 2014 ---------- --- ----

--- timely test-taking- ongoing, initiated March 2014 7. Instructor classroom and clinical observations completed quarterly at minimum as of August 2013 Future Enrollments Problem Area Interventions 1. Pending major curriculum revisions for Vocational Nursing Program- all aspects of.the current curriculum have been reviewed and modified to achieve greater congruency between theory and clinical objectives 2. Continue provision of HESI practice materials, assessments, and Live NCLEX PN Review for future cohorts 3. Continue to provided initial testing and licensure fees Evaluation 1. Currently under review with Nurse Consultant --- ----- -- ==-=--==-.---===~-==~~--===-= =,=r~""==-=- ="'==--=-== ~.,..=~---.

Agenda Item #6.C.2., Attachment E S'TAT'G> OF CAI..IPOR'NIA OEPA~TMEN.T OF CONSUMEJ:l' AFFAIRS BUSiNESS, CONSUMER SERViCES. AND HOUSiNG AGENCY GOVERNOR EDMUND G. BROWN jf;_ Board of Vocational Nursing and Psychiatric Technicians 2535 Capitol Oaks Drive Suite 205, Sacramento, CA 95833-2945 Phone 916-263-7800 Fax 916-263-7855 Web www.bvnpt.ca.gov April 27, 2015 Janice Montgomery, Director Vocational Nursing Program Platt College, Alhambra 1000 S. Freemont Ave #A-1 0 Alhambra, CA 91803 Subject: Consideration of Continued Approval; Consideration of Curriculum Revision Dear Ms. Montgomery, On April 27, 2015, the Executive Officer rendered the following decisions regarding the Platt College, Alhambra, Vocational Nursing Program's request for consideration of ongoing approval and for consideration of a major curriculum revision: Recommendations: 1. Approve the Platt College Vocational Nursing Program's request for a major curriculum revisions to include 1750 hours, including 671 theory hours and 1079 clinical hours. 2. Continue to require the program to obtain Board approval prior to the admission of each class. 3. Place the program on the Board's August 2015 agenda for consideration of placement on provisional approval. Rationale: The program has, over the past year, made a number of important changes in policy, curriculum, and support to past and current students. Through the revised Program Record Survey, the program has documented adequate resources to support the objectives of the program. The program was found to be in violation of regulations related to program pass rates; no other violations are identified in the recently revised Program Record Survey. Based on the most recent data available (January through March, 2015), the program's average annual pass rate is 39%, which is 32 percentage points below the state average annual pass rate. The program now has five (5) consecutive quarters below the state average annual pass rate. An

improvement plan was implemented by the program in late 2014. The new curriculum is to be implemented with the next admission to the program. Board staff will continue to monitor the program by tracking its licensure examination pass rate quarterly, reviewing the program's Annual Reports, and performing accreditation surveys every four years. In addition, the program must request approval prior to admitting new students. Information regarding the program's placement on the Board's August 2015 agenda for consideration of provisional approval will be forwarded to the program in the near future. Please contact me should you have questions. Sincerely, VOf'Vl!'I,CV G. J ~ Donna G. Johnson, RNP, MS, MA Nursing Education Consultant donna.iohnson@dca.ca.gov 916-263-7842 2

Agenda Item #6.C.2., Attachment F BUStNiE.SS~ CONSUMER Sf::RV!CES_ r~nd HOUSlNG r~get JCY GOVERNOR EDMUHD G. BROWN jr_ Board of Vocational Nursing and Psychiatric Technicians OEPARTMENT Of< CCH~SUMER AF"i::AIAS 2535 Capitol Oaks Drive Suite 205, Sacramento, CA 95833-2945 Phone 916-263-7800 Fax 916-263-7855 Web www.bvnpt.ca.gov May13,2015 Janice Montgomery, Director Vocational Nursing Program Platt College, Alhambra Campus 1000 S. Freemont Ave #A~1 0 Alhambra, CA 91803 Dear Ms. Montgomery, Subject: NCLEX-PN Pass Rates The Board of Vocational Nursing and Psychiatric Technicians hereby informs you of your program's status related to Section 2530(1) of the Vocational Nursing Rules and Regulations which states: "The program shall maintain a yearly average minimum pass rate on the licensure examination that does not fall below 10 percentage points of the state average pass rate for first time candidates of accredited vocational nursing schools for the same period. (1) Failure to achieve the required yearly average minimum pass rate within two years of initial approval may be cause to place a program on provisional accreditation. Statistics furnished by Pearson VUE, and published by the National Council of State Boards of Nursing as "Jurisdictional Summary of All First-Time Candidates Educated in Member Board Jurisdiction", indicate that the pass rates for the Platt College, Alhambra Campus Vocational Nursing Program have fallen below 10 percentage points of the state average pass rate for the past five quarters.

*The Annual Pass Rate changes every quarter. It is calculated by dividing the 11umber of candidates who passed during the current and previous three-quarters by the number of candidates who tested during the same period. If no data is available for the relevant period, the statistic is carried over from. the last quarter for which data is available. The Board has reviewed ybur pian to improve pass r?tes. At this tim.e, your program has been scheduled for consideration of placen1ent onprovisional approval at the August 2015 Board meeting. C,:;qrresponderi9e related to presentation of your program at the August meeting will follow separately.. Should you have questions, pleas~ do not hesitate to contact:the Board. Sincerely,... Vo-vt UiVG. J~ Donna G. Johnson, RNP, MS, MA Nursing Education Consultant donna.johnson@dca.ca.gov 916-263-7842. 2

Agenda Item #6.C.2., Attachment G fksim.=:ss, CONSUME.R SE'.RViCES AND HOUSiNG ~\GE!'JCY GOVERNOR EDMUND G. BROWN JR. OEPAR1"M!:NT OF CONSUME.R AFFAIRS Board of Vocational Nursing and Psychiatric Technicians 2535 Capitol Oaks Drive Suite 205, Sacramento, CA 95833-2945 Phone 916-263-7800 Fax 916-263-7855 Web www.bvnpt.ca.gov May 13,2015 Janice Montgomery, Director Vocational Nursing Program Platt College, Alhambra Campus 1000 S. Freemont Ave #A-10 Alhambra, CA 91803 Subject: Program Approval Status Dear Ms. Montgomery, The Board of Vocational Nursing and Psychiatric Technicians (Board) is scheduled to consider the following elements relative to the Platt College, Alhambra Campus, Vocational Nursing Program on August 21, 2015: > Consideration of Placement on Provisional Approval > Consideration of Request to Admit Students In preparation for that meeting, information is requested relative to the program's enrollment, approved faculty, clinical resources, and other program resources. Please complete and submit the attached forms no later than June 15, 2015. Please note that only current faculty and facilities should be listed. In addition, the clinical assignment forms should be completed for all currently enrolled and any requested students. Should you have questions, please do not hesitate to contact me. Sincerely, VC)1!1;VLW G. J~ Donna G. Johnson, RNP, MS, MA Nursing Education Consultant donna.johnson@dca.ca.gov 916-263-7842 Attachments: 1. Blank Enrollment Data Table. 2. Blank Faculty and Facility Forms 3. Blank Faculty/Student Clinical Assignment Form 4. Blank Maternity Faculty/Student Clinical Assignment Form 5. Blank Pediatric Faculty/Student Clinical Assignment Form

<,-::-:::. :;::~>'~; Agenda Item #6.C.2., Attachment H BUSiNESS, CONSUt'.!1E.R SERViCES AND HOUSING AGENCY GOVERNOR ED~ <1UND c;_ BRO\NN JR. DEPARTMENT OF CONSUMER AFFAIRS Board of Vocational Nursing and Psychiatric Technicians 2535 Capitol Oaks Drive Suite 205, Sacramento, CA 95833-2945 Phone 916-263-7800 Fax 916-263-7855 Web www.bvnpt.ca.gov August X, 2015 Janice Montgomery, Director Vocational Nursing Program Platt College, Alhambra Campus 1000 S. FreemontAve #A-10 Alhambra, CA 91803 Subject: Notice of Change in Approval Dear Ms. Montgomery, CERTIFIED MAIL Pursuant to the action of the Board of VOb~{ipnal Nursing and (Board) on August 21, 2015, the Platf:,Qgllege,<6Jbambra Nursing Program has been plac;7c:l.?n provisiod l... ~pptoval for the from August 21, 2015 through ASI9.~.~131, 2017.':, ::.;):::: ;:;::' : :.:~_-:;:,<_,_,_, _:~-'.;::;-:,:;::::~-. >:; : :~-: -'-- - ' -.,-.,; -~. --:', Technicians Vocational year period The purpose of this letter is to exp:l~tq th~:,::.cf2~,s of ~g~~!tgmpliance identified and the corrections req~f~j'~#;~~~~ progl~~.to ~~~~~ f~~:~ \3g~fpval completely. Once you have i~~~~:~jt~w~ts le;~~y 5,~~~~<~t\~&tt!.a~: return the enclosed "Acknowledgement'"6f;Ghange:::Jb;ApprovaW:$f~tus" form by Friday, September 15, 2015. "~::~,;:::;.. l2\~i1j]~ > : : :. :i,~%:>>. :.. :AREAS.GF NON~C'oMPLIA ;;.J'cE (VIOLATIONS<Sl.<<:; :\ _ < ;-~: :,-~.: :'.. ~<<<,-j>);-i :. ~: :<<{:~:;:: ik. ' - " '>, ;.;;~~~<: ' <" ';'-/'~c':~;,i.'.: 0 -. >-<~;~~;-~~~::::::,, '::~~~~~<" In accbr~ance with g2tjsn 2529,,).(c) of tffl@j!16 of the California Code of Regulations, "TheM~.()ard may bt~oe any:::p(ogram on provisional approval when that prograrn::-c~oes not m~~.t all requirements as set forth in this chapter and in. Section 2526... ".: : Section 2530(1) of titf~.j~ ()f.:jh~ California Code of Regulations states: "The program s'r;~"jl.<:"fh~intain a yearly average minimum pass rate on the licensure examination that does not fall below 10 percentage points of the state average pass rate for first time candidates of approved vocational nursing schools for the same period." REQUIRED CORRECTION(S) 1. The program shall provide no less than one (1) instructor for every ten (1 0) students in clinical experiences.

Platt College, Alhambra Campus Vocational Nursing Program Notice ofchange in Approval Status August X, 2015 Page 2 of3 2. The program shall admit no additional classes without prior approval by the full Board. 3. The program shall submit, under penalty of perjury, the names of all enrolled students, date of admission, placement in the curriculum, and expected date of graduation by September 15, 2015. 4. The program shall submit follow up reports in nine (9) months, but no later than May 1, 2016, and 21 months, but no later than May 1, 2017. The reports must include a comprehensive analysis of the program, specific actions taken to improve pass rates, timeline for implementation, and the effect of employed interventions. The following elements must be addressed in the analysis: a. Admission Criteria b. Screening and Selection Criteria c, Terminal Objectives d. Curriculum Objectives e. Instructional Plan f. Theory and Clinical Objectives for Each Course g. Lesson Plans for Each Course h. Textbooks i. Attendance Policy j. Remediation Policy k. Evaluations of Theory and Clinical Faculty I. Evaluations of Theory Presentations m. Evaluations of Clinical Rotations and Their Correlation to Theory Presentations n. Evaluation of Student Achievement o. Current Enrollment 5. The program shall bring its average annual pass rate to no more than (1 0) ten percentage points below the State average annual pass rate. 6. The program shall demonstrate incremental progress in correcting the violations. If the program fails to satisfactorily demonstrate incremental progress the full Board may revoke the program's approval. 7. The program shall comply with all approval standards in Article 4 of the Vocational Nursing Practice Act, commencing at Business and Professions Code Section 2880, and Article 5 of the Board's Regulations, commencing at California Code of Regulations, Title 16, Section 2526. 8. Failure to take any of these corrective actions may cause the full Board to revoke the program's approval. 2

Platt College, Alhambra Campus Vocational Nursing Program Notice ofchange in Approval Status August X, 2015 Page 3 of3 FUTURE BOARD ACTION Your program will be placed on the August 2017 Board Meeting agenda, at which point the Board may revoke or extend the program's approval. If you have additional information that you wish considered beyond the required corrections listed on pages 2 and 3, you must submit this documentation by the fifteenth day of the second month prior to the Board Meeting. OTHER IMPORTANT INFORMATION Please be advised that, pursuant to the Board's regulations, the program will not. be authorized to admit new classes beyond the established pattern of admissions previously approved by the Board. The established pattern of admissions approved by the Board is as follows: Prior approval by the full Board is required to admit additional students. In the event your program is required to submit any report(s) as a corrective action pursuant to this notice, such reports are required in addition to any other reports required pursuant to section 2527 of the Board's regulations. The program may not advertise that it has full approval, and should take steps to correct any ongoing advertisements or publications in that regard. A copy of title 16, California Code of Regulations, section 2526.1, regarding provisional approval is attached for your reference. A complete copy of the Board's laws and regulations can be found on the Board's web site at www.bvnpt.ca.gov. Should you have questions, please do not hesitate to contact the Board. Sincerely, JOHN BROOKS Acting Executive Officer Enclosures cc: Board Members JB: dgj 3